| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $35.54 | $61.20 | $78.05 |
Aetna
| Professional | $86.36 | $115.31 | $189.64 | |
BCBS
| Professional | $167.00 | $167.00 | $167.00 | |
Cigna
| Professional | $78.62 | $124.89 | $211.87 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $81.63 | $97.67 | $200.72 |